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Cigna to Exit ACA Individual Market at Year-End, Affecting 369,000 Members

The move reflects enrollment losses tied to expired ACA subsidies.

Overview

  • Cigna, which announced the shift on Thursday’s earnings call, will exit the Affordable Care Act individual market at the end of 2026.
  • About 369,000 people in 11 states will need new coverage for 2027 as Cigna leaves the exchanges.
  • The company said current benefits and provider networks do not change now, and it will guide members during the next open enrollment.
  • Executives cited limited growth in the exchange line and enrollment erosion after enhanced subsidies lapsed, echoing declines reported by Centene and UnitedHealthcare.
  • In Q1 2026, Cigna reported $1.65 billion in profit on $68.5 billion in revenue, with Evernorth revenue up 9% to $58.4 billion.